*University of Health Science Turkey, Gulhane Physiotherapy and Rehabilitation Faculty, Ankara, Turkey.
†Ankara Yıldırım Beyazıt University, Faculty of Medicine, Department of Medical Informatics and Biostatistics, Ankara, Turkey.
J Am Podiatr Med Assoc. 2024 May-Jun;114(3). doi: 10.7547/22-229.
Improvements in muscle oxygenation and exercise posture can significantly impact muscle contraction. The aim of this study was to compare the effects of combined breathing and exercise posture (sitting or standing) on the muscle activity of the foot and ankle during short foot exercises (SFE) in individuals with pes planus.
The study included 15 subjects aged 21.53 ± 1.06 years, diagnosed with pes planus. Short foot exercises were performed with and without breathing exercises (BE) in sitting and standing positions. Surface electromyography was used to measure the activity of the tibialis anterior (TA), peroneus longus (PL), and abductor hallucis longus (ABDH) muscles during four different SFE. Four-way repeated analyses of variance were used to assess the addition of BE to SFE and muscle activities of the foot and ankle.
Muscle activity in the TA, PL, and ABDH was significantly higher in the SFE with BE than without BE in the standing position than in the sitting position. The SFE performed with BE when standing significantly increased the ABDH and ankle muscle activity compared to without BE.
SFE with BE may represent a new strengthening program for ABDH and PL foot muscles in rehabilitation programs for individuals with pes planus.
肌肉氧合和运动姿势的改善可以显著影响肌肉收缩。本研究旨在比较呼吸和运动姿势（坐或站）结合对扁平足患者短足运动（SFE）时足部和踝关节肌肉活动的影响。
该研究纳入了 15 名年龄为 21.53±1.06 岁、被诊断为扁平足的受试者。SFE 时进行了有和没有呼吸练习（BE）的坐立位短足运动。表面肌电图用于测量胫骨前肌（TA）、腓骨长肌（PL）和拇展肌（ABDH）在四种不同 SFE 期间的活动。四向重复方差分析用于评估 BE 对 SFE 和足部及踝关节肌肉活动的影响。
与 SFE 无 BE 相比，站立位 SFE 加 BE 时 TA、PL 和 ABDH 的肌肉活动明显更高，而坐位时则更低。与无 BE 相比，站立位 SFE 加 BE 时 ABDH 和踝关节肌肉活动明显增加。
SFE 加 BE 可能代表一种新的扁平足康复计划中 ABDH 和 PL 足部肌肉的强化方案。
